GABRIELLE J DAVIS LAC, NCC
NPI 1871091579
Counselor - Mental Health in Matawan, NJ
About Gabrielle J Davis Lac, Ncc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GABRIELLE J DAVIS LAC, NCC (NPI 1871091579) is an individual mental health provider in Matawan, New Jersey, licensed in New Jersey (37AC00400000) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gabrielle J Davis Lac, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MATAWAN, NJ 07747
MATAWAN, NJ 07747
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gabrielle Davis's NPI number?
The NPI number for Gabrielle Davis is 1871091579. It was assigned to this individual provider in the NPPES registry on January 28, 2018.
Where is Gabrielle Davis located?
Gabrielle Davis practices at 166 Main St, Matawan, NJ 07747. The listed phone number is (732) 290-9040.
What is Gabrielle Davis's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Gabrielle Davis enrolled in Medicare?
Yes. Gabrielle Davis is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Gabrielle Davis was last updated on June 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Gabrielle J Davis, LAC, NCC · NPI 1871091579
Mental Health provider in Matawan, New Jersey. Individual provider, active in the CMS NPPES registry since January 28, 2018.
## Identity
- **NPI:** 1871091579 (Entity type: Individual)
- **Enumerated:** January 28, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 37AC00400000 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 166 MAIN ST, Matawan, NJ 07747
- **Phone:** (732) 290-9040
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** June 18, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1871091579) · Data from the CMS NPPES public registry.